Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New York for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New York only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New York (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Erie County South East Corp V (NPI 1487601837)

Field	Value
Entity Type	Organization
Organization	Erie County South East Corp V
Address	326 Orchard Park Rd
City	West Seneca
State	NY
ZIP	14224
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 30, 2006

Payer Source	Total Paid
Medicaid	$94.3M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	804,760	$110	$85.3M
H0040	Assertive community treatment program, per diem	3,320	$1,820	$6M
H2016	Comprehensive community support services, per diem	2,530	$690	$1.7M
H2019	Therapeutic behavioral services, per 15 minutes	1,210	$600	$722.9K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	3,230	$80	$251.8K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	1,620	$100	$158.4K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	350	$60	$19.6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	240	$70	$16.9K
H2018	Psychosocial rehabilitation services, per diem	40	$300	$11.5K
H2011	Crisis intervention service, per 15 minutes	70	$80	$5.2K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.

Claims Volume vs. New York Distribution

Erie County South East Corp V — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. New York median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	3	30	47,730	$120	$24.8M
H2016	Comprehensive community support services, per diem	9	30	1,850	$300	$15.1M
H0040	Assertive community treatment program, per diem	18	90	1,990	$1,780	$5.3M
H2018	Psychosocial rehabilitation services, per diem	83	90	720	$1,900	$2.4M
H2019	Therapeutic behavioral services, per 15 minutes	91	170	1,390	$570	$1.6M
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	495	1,510	1,010	$110	$1.1M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	914	2,200	1,010	$130	$892.2K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	431	620	1,130	$60	$370.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,250	1,320	140	$260	$334K
H2011	Crisis intervention service, per 15 minutes	117	140	410	$140	$241.7K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Erie County South East Corp V, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Center For Ambulatory Surgery LLC	NY	Ambulatory Surgical Clinic/Center	$654.2K	$214K
Mark Schulte	NY	Rheumatology Physician	$715.2K	$0
Upstate Pharmacy Ltd	NY	Community/Retail Pharmacy	$249.9K	$99.2K
Peterkin Lee-kwen	NY	Neurology Physician	$130.7K	$27.6K
Su Zhan	NY	Physical Medicine & Rehabilitation Physician	$121.4K	$18.7K
P Jeffrey Lewis	NY	Neurological Surgery Physician	$102.3K	$12.8K
Joyce Lin	NY	Vascular Surgery Physician	$67.8K	$0
Richard Bloomberg	NY	Surgery Physician	$30.3K	$0
Michael Szalach	NY	Foot Surgery Podiatrist	$25.3K	$4.8K

Erie County South East Corp V — Billing Profile & Reimbursement Data

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Erie County South East Corp V — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References